Provider Demographics
NPI:1215339676
Name:BELL DAVLANTES, TIFFANY (FNP)
Entity type:Individual
Prefix:MRS
First Name:TIFFANY
Middle Name:
Last Name:BELL DAVLANTES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78120 WILDCAT DR
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92211-1140
Mailing Address - Country:US
Mailing Address - Phone:760-340-2682
Mailing Address - Fax:760-773-9695
Practice Address - Street 1:78120 WILDCAT DR
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92211-1140
Practice Address - Country:US
Practice Address - Phone:760-340-2682
Practice Address - Fax:760-773-9695
Is Sole Proprietor?:No
Enumeration Date:2014-09-17
Last Update Date:2020-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95001318363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily